Very interesting discussion this has become (though I fear our original poster is not getting the answers she's looking for!

)
When I read this thread, many of the issues seem linked to causality. We say this diet LEADS TO this, or INCREASE that, or CAUSES such and such. All of these are causal claims.
But the problem is that it's nearly impossible to determine causality without experimental research -- research that holds all other variables constant except for the ones of interest. In the area of nutrition, it is nearly impossible to do that kind of research. How do you vary diet only and keep everything else (including genetics and other lifestyle and cultural factors) the same in cross-cultural research? I think you can't.
So, if Azerbajanis or the French or the Japanese or Italians live longer or have less heart disease, we can see
correlations to the type of diet, but we can't determine that the diet CAUSED the longevity (provided it's true to begin with) because we haven't been able to isolate the factors involved with real experimental research.
There has been research on various aspects of nutrition, and some of it is experimental and some of that does seem to indicate that eating certain foods causes better health (e.g., lower incidence of heart disease). But even that research is a long way from showing how diet in and of itself causes these effects.
In addition, as many people are pointing out, there may be genetic factors that haven't yet been taken into account. Maybe the cause of a longer life, or lower heart disease, among certain groups is an interaction between their diet AND their genetics. In other words, maybe a certain diet works best for certain people, and another diet works well for others. Some preliminary research on diets that try to reduce insulin responses seems to suggest that it is helpful for some people but not others.
Of course, this becomes highly problematic for those of us trying to change our diets and become healthier -- what are we supposed to do if the research hasn't fully answered our questions?
Well, we do the best we can. We read and make choices that seem to work with our lifestyles, and we check with our doctors to make sure our numbers look okay. But we also need to recognize that the answers aren't going to be immediately apparent. I can feel healthy and have great numbers, but I don't know for sure how things will look 30 years down the road. And if I just feel good, how do I know it's because of my diet alone? What about the additional exercise? And what about issues like the "placebo effect"?
I guess this is all a long-winded way of saying that the answers we desperately seek may not be out there yet, and probably won't be in our lifetimes. We do the best we can. But at the same time, we have to be careful not to overstate our own cases, or to presume that we know more than we do...
(quietly gets off soapbox...)